Abstract
The study design was a retrospective study in adolescent scar contracture scoliosis caused by back scalding during the infantile period. The objective of the study was to investigate the pathogenesis, clinical manifestation and treatment of adolescent scar contracture scoliosis caused by back scalding during the infantile period. This condition seldom occurs and is not reported in current English literature. One patient was first treated with skin expansion, back scar excision and skin flap transfer, followed by anterior correction with TSRH instrumentation. Two patients were first treated with back scar excision and anterior spinal release. One patient was treated with posterior correction with TSRH instrumentation, and thoracoplasty was performed after 50 days in halo-wheelchair traction. The other patient was treated with posterior correction with TSRH instrumentation. No management of scalding was performed on the fourth patient. Anterior release and posterior correction were performed at an interval of 3 weeks. The deformities of four patients were well corrected. Trunk balance was restored and the pelvis leveled. The skin incision wounds healed well. Minor loss of correction was recorded during the last follow-up. Severe scar contracture caused by back scalding during the infantile period could lead to adolescent scoliosis. Its pathogenesis and clinical manifestation are different from the typical adolescent idiopathic scoliosis. The treatment of this kind of scoliosis should be individualized.
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Chen SH, Chen PQ, Huang TJ, Ko JY, Wang CJ (2003) Surgical correction of postradiation spinal deformity. Chang Gung Med J 26:160–169
Durning RP, Scoles PV, Fox OD (1980) Scoliosis after thoracotomy in tracheoesophageal fistula patients. A follow-up study. J Bone Joint Surg Am 62:1156–1159
Huang MJ, Lenke LG (2001) Scoliosis and severe pelvic obliquity in a patient with cerebral palsy: surgical treatment utilizing halo-femoral traction. Spine 26:2168–2170
Karski T (1997) Hip abductor contracture as a biomechanical factor in the development of the so-called “idiopathic scoliosis”. Explanation of the etiology. Ann Univ Mariae Curie Sklodowska 52:87–94
Liang D (1991) An approach to correcting scoliosis. Mechanism and operative procedure. Zhonghua Wai Ke Za Zhi 29:228–230
Machida M (1999) Cause of idiopathic scoliosis. Spine 24:2576–2583
Rowe PW, Eagle M, Pollitt C, Bullock RE, Bushby KM (2000) Multicore myopathy: respiratory failure and paraspinal muscle contractures are important complications. Dev Med Child Neurol 42:340–343
Sengupta DK, Mehdian SH, McConnell JR, Eisenstein SM, Webb JK (2002) Pelvic or lumbar fixation for the surgical management of scoliosis in Duchenne muscular dystrophy. Spine 27:2072–2079
Vaccaro AR, Silber JS (2001) Post-traumatic spinal deformity. Spine 26:S111–S118
Van Biezen FC, Bakx PA, De Villeneuve VH, Hop WC (1993) Scoliosis in children after thoracotomy for aortic coarctation. J Bone Joint Surg Am 75:514–518
Winter RB, Pinto WC (1986) Pelvic obliquity. Its causes and its treatment. Spine 11:225–234
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The research was approved by the Ethics Committee of Nanjing University.
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Qiu, Y., Wang, S.F., Wang, B. et al. Adolescent scar contracture scoliosis caused by back scalding during the infantile period. Eur Spine J 16, 1557–1562 (2007). https://doi.org/10.1007/s00586-007-0381-3
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DOI: https://doi.org/10.1007/s00586-007-0381-3